*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M1991 - Primary osteoarthritis, unspecified site - as a primary diagnosis code | M1991 - Primary osteoarthritis, unspecified site - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.64 | |
| Readmission Rate (%) | 20.46 | |
| Unplanned Readmission Rate (%) | 6.32 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | |||
| Total Hospitalizations with ICD M1991 - Primary osteoarthritis, unspecified site | 82 | |||
| DRG Share of Total Hospitalizations | 4.63 | |||
| % of Total ICD M1991 - Primary osteoarthritis, unspecified site in DRG | 41.84 | |||
| Avg LOS at DRG | 2.52 | |||
| Avg LOS with ICD M1991 - Primary osteoarthritis, unspecified site | 2.23 | |||
| Readmission Rate at DRG | 9.03 | |||
| Readmission Rate with ICD M1991 - Primary osteoarthritis, unspecified site | NA | |||
| Unplanned Readmission Rate at DRG | 3.35 | |||
| Unplanned Readmission Rate with ICD M1991 - Primary osteoarthritis, unspecified site | NA | |||
| Total Medicare payments at DRG | $17,672,828,347 | |||
| Total Medicare payments with ICD M1991 - Primary osteoarthritis, unspecified site | $994,449 | |||
| Total Medicare payment per Day at DRG | $4,606 | |||
| Total Medicare payment per Day with ICD M1991 - Primary osteoarthritis, unspecified site | $5,434 | |||
| Total Medicare payment per Hospitalization at DRG | $11,606 | |||
| Total Medicare payment per Hospitalization with ICD M1991 - Primary osteoarthritis, unspecified site | $12,127 | |||
| Total Medicare Charges at DRG | $91,836,200,128 | |||
| Total Medicare Charges with ICD M1991 - Primary osteoarthritis, unspecified site | $5,137,187 | |||
| Avg Charges at DRG | $60,312 | |||
| Avg Charges with ICD M1991 - Primary osteoarthritis, unspecified site | $62,649 | |||
| Mortality Rate at DRG | 0.05 | |||
| Mortality Rate with ICD M1991 - Primary osteoarthritis, unspecified site | NA | |||
| SNF Discharge Rate at DRG | 23.53 | |||
| SNF Discharge Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 19.51 | |||
| Home Discharge Rate at DRG | 30.67 | |||
| Home Discharge Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 41.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M1991 - Primary osteoarthritis, unspecified site | 2,622 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M1991 - Primary osteoarthritis, unspecified site in DRG | 5.15 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M1991 - Primary osteoarthritis, unspecified site | 5.79 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 21.36 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 14.6 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M1991 - Primary osteoarthritis, unspecified site | $28,497,435 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M1991 - Primary osteoarthritis, unspecified site | $1,877 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M1991 - Primary osteoarthritis, unspecified site | $10,869 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M1991 - Primary osteoarthritis, unspecified site | $133,843,106 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M1991 - Primary osteoarthritis, unspecified site | $51,046 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 8.92 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 29.29 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 24.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD M1991 - Primary osteoarthritis, unspecified site | 876 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD M1991 - Primary osteoarthritis, unspecified site in DRG | 1.72 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD M1991 - Primary osteoarthritis, unspecified site | 3.21 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 16.11 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 12.17 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD M1991 - Primary osteoarthritis, unspecified site | $3,831,539 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD M1991 - Primary osteoarthritis, unspecified site | $1,363 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD M1991 - Primary osteoarthritis, unspecified site | $4,374 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD M1991 - Primary osteoarthritis, unspecified site | $22,814,606 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD M1991 - Primary osteoarthritis, unspecified site | $26,044 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD M1991 - Primary osteoarthritis, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 12.67 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 69.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD M1991 - Primary osteoarthritis, unspecified site | 730 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD M1991 - Primary osteoarthritis, unspecified site in DRG | 1.43 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD M1991 - Primary osteoarthritis, unspecified site | 4.0 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 19.94 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 13.39 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD M1991 - Primary osteoarthritis, unspecified site | $4,422,177 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD M1991 - Primary osteoarthritis, unspecified site | $1,514 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD M1991 - Primary osteoarthritis, unspecified site | $6,058 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD M1991 - Primary osteoarthritis, unspecified site | $19,232,928 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD M1991 - Primary osteoarthritis, unspecified site | $26,346 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD M1991 - Primary osteoarthritis, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 17.26 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 50.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD M1991 - Primary osteoarthritis, unspecified site | 637 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD M1991 - Primary osteoarthritis, unspecified site in DRG | 1.25 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD M1991 - Primary osteoarthritis, unspecified site | 5.24 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 22.37 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 15.08 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD M1991 - Primary osteoarthritis, unspecified site | $5,213,491 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD M1991 - Primary osteoarthritis, unspecified site | $1,563 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD M1991 - Primary osteoarthritis, unspecified site | $8,184 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD M1991 - Primary osteoarthritis, unspecified site | $25,296,126 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD M1991 - Primary osteoarthritis, unspecified site | $39,711 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 3.45 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 24.33 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD M1991 - Primary osteoarthritis, unspecified site | 34.22 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MCLAREN PORT HURON | 1221 PINE GROVE AVE | PORT HURON | MI | 48060 | 932 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 700 |
| VIA CHRISTI HOSPITAL PITTSBURG | 1 MT CARMEL WAY | PITTSBURG | KS | 66762 | 661 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 142 |
| Dr. CHRISTINE JEANETTE WEOT | 3152 LITTLE RD | TRINITY | FL | 34655 | 81 |
| Dr. NEIL KISHOR PATEL | 1990 LARKIN AVE | ELGIN | IL | 60123 | 50 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJAT PRAKASH | 3050 COMMERCE DR | FORT GRATIOT | MI | 48059 | 359 |
| Dr. MICHAEL A ROSEMORE | 3004 ALLISON BONNETT MEMORIAL DR | HUEYTOWN | AL | 35023 | 162 |
| Dr. JACK COLE NOBLE | 355 W HICKORY AVE | BASTROP | LA | 71220 | 159 |